A large solitary fibroma of the deep compartment of the sole

A 50-year-old lady presented with a right foot mass and pain for 1 year. Magnetic resonance imaging showed a 3.9 × 3.2 × 5 cm mass on plantar side of the forefoot deep to the major flexor tendons and plantar aponeurosis and inferior to 1st-4th metatarsals. The mass extended dorsally through the intermetatarsal space to the foot dorsum. Ultrasound guided biopsy was performed, which confirmed it was a fibroma. This case was further complicated by pathological fracture of the 3rd metatarsal. It was resected through a dorsal incision and surgical dislocation of the 2nd and 3rd tarsometatarsal joints. Magnetic resonance imaging was repeated 1 year later and showed complete resection of the lesion without recurrence.